CPT Code 54332 | Description & Clinical Information

CPT 54332 describes a surgical procedure that involves correcting hypospadias at the base of the penis, extensive dissection to correct chordee, and repairing the urethra with a skin graft tube or island flap in a single stage.

Official Description

The CPT book defines CPT code 54332 as: “1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap”.

Clinical Information

The procedure described by CPT code 54332 involves a surgical technique known as urethroplasty. This procedure is typically performed on male patients who have a urethral stricture, a condition that causes a narrowing of the urethra and makes urination difficult. Urethroplasty is performed in order to widen the urethra and restore normal urination.

Before the procedure can begin, the patient is properly prepped and anesthetized to ensure they are comfortable and pain-free throughout the surgery. Once the anesthesia has taken effect, the provider makes an incision at the base of the penis near the scrotum and around the meatus. This allows them to access the urethra and begin the process of widening it.

The provider prepares a wide rectangular flap from preputial skin and sutures it together to form a tube. This tube will be used as a part of the urethra, and will help to widen the passage and restore proper urination. The tube flap is then secured in place between the urethral opening underneath the shaft of the penis near the scrotum and the meatal opening that the provider will create at the tip of the penis.

During the procedure, the provider may also perform a circumcision in order to ensure smooth movement of the glans through the prepuce. This can help to reduce the risk of complications and ensure a successful outcome.

Once the tube flap has been secured in place and any necessary circumcisions have been performed, the provider will close the incision with sutures. The patient will be monitored closely after the procedure to ensure there are no complications and that they are recovering well.

Overall, the urethroplasty procedure described by CPT code 54332 is a safe and effective way to treat urethral strictures in male patients. However, as with any surgical procedure, there are risks involved, and patients should discuss the procedure with their healthcare provider to determine if it is the right option for them.

Return to all the CPT codes for repair procedures on the penis.